LARRY DEAN SWANNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

LARRY DEAN

Last Name

SWANNER

Business Name

LARRY DEAN SWANNER

Original Issue Date

01/07/1985

Effective Date

01/07/1985

Expiration Date

07/31/1990

City

ROODHOUSE

State

Zip

62082

County

GREENE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006